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FOX VALLEY DERMATOLOGY SC
NPI 1316951213
Dermatology in Oshkosh, WI

Active since July 28, 2006CLIA 52D0982036 · Microscopy
515 S WASHBURN ST, SUITE 204, OSHKOSH, WI 54904(920) 232-1130 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fox Valley Dermatology Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOX VALLEY DERMATOLOGY SC (NPI 1316951213) is a healthcare organization registered as a dermatology in Oshkosh, Wisconsin and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through April 24, 2028 and lists Heather Lenz, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316951213
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOX VALLEY DERMATOLOGY SC
Location Address515 S WASHBURN ST, SUITE 204Oshkosh, WI 54904-7975
Mailing Address3420 Jackson St, Suite EOshkosh, WI 54901-8144 · (920) 426-2211 · Fax (920) 426-2231
Phone(920) 232-1130
Organization SubpartNo
Authorized OfficialHeather LenzOffice Manager · (920) 426-2211
Enumeration DateJuly 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316951213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WI · 42905020
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
515 S WASHBURN ST, Oshkosh, WI 54904
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Other Identifiers 1

Medicaid34045300WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fox Valley Dermatology Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fox Valley Dermatology Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shaun Mcdonald, MD
Dermatology
NPI 1669486320
515 S WASHBURN ST SUITE 204
Oshkosh, WI 54904
(920) 232-1130
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 52D0982036

Fox Valley Dermatology, Sc · Oshkosh, WI
Active · expires Apr 24, 2028
CLIA Number52D0982036
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorShaun P. Mcdonald, MD
Laboratory Phone(920) 232-1130
Laboratory LocationFox Valley Dermatology, Sc515 S Washburn St Ste 204, Oshkosh, WI 54904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fox Valley Dermatology Sc's NPI number?

The NPI number for Fox Valley Dermatology Sc is 1316951213. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Fox Valley Dermatology Sc located?

Fox Valley Dermatology Sc is located at 515 S Washburn St Suite 204, Oshkosh, WI 54904. The listed phone number is (920) 232-1130.

What is Fox Valley Dermatology Sc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Fox Valley Dermatology Sc enrolled in Medicare?

Yes. Fox Valley Dermatology Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fox Valley Dermatology Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Fox Valley Dermatology Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fox Valley Dermatology Sc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D0982036) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fox Valley Dermatology Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Fox Valley Dermatology Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fox Valley Dermatology Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.